CUSD Application to Conduct Research

Application to Conduct Research in the Capistrano Unified School District

The Capistrano Unified School District (CUSD) recognizes the value of high-quality research for advancing the field of educational practice. Both external researchers and Board-contracted researchers will be required to submit a proposal describing all required elements as requested in this application. Any individual or entity who would like to conduct research in CUSD must adhere to the regulations set forth by federal regulations, District Board Policy, and the requirements described within this application. Only proposals that are deemed to be well-designed, relevant to educational practice, and aligned to district initiatives will be considered for approval.

A request for approval to conduct a research study or survey, with the exception of those mandated by law, shall be submitted to the District Research Review Team not less than thirty (30) days prior to the anticipated start date. Once your application is received, you will receive a confirmation email. Once your application is reviewed by the District Research Review Team, you will be notified of the decision by email.
Date of submission*

MonthDayYear
Date
Part I: Study Information
Title of Project*
Please indicate which type of application this research relates to below.
Graduate Student

Doctoral DissertationMaster's ThesisOther Type of Graduate Work:
Professional Research

UniversityGovernment AgencyOther Type of Professional Research
Seeking Letter of Endorsement for Grant:
Part II: Contact Information
Name of Principal Investigator*
Title*
Organization/University*
Faculty Sponsor (if applicable)*
If CUSD Employee, Site/Location
Email address*
example@example.com
Address*
City*
State*
Zip Code*
Phone Number*
Part III: Description of Research Study/Grant
Purpose: *
What is the purpose of this study/grant?
Research Question(s):*
What are your research questions? Or- What are the objectives of the grant?
Benefit to Capistrano USD and/or Field of Education:*
What contributions or significance will the study/grant have for CUSD and/or the field of education?
Selection of CUSD:*
Why have you selected CUSD as a potential research site/grant site?
Brief Overview:*
Briefly describe the study/grant activities.
Timeline:*
What are the proposed beginning and anticipated ending dates?
Expected Date of Final Report:*
Requirement: A final report must be made available to the District.
Part IV: Methodology - If requesting access to school sites
Target Population:

Requirement: Pseudonyms must be used
- Please identify the schools/locations where this study (or grant) would be conducted and why these were selected.
- Include number of schools and names of schools, if known.

Level(s) and Number of Schools:*

	Select	Number
Pre-K
Elementary
Middle School
High School
District Office

Details: *
Please Select Select the Schools to Be Included in the Research

Aliso Niguel High SchoolAliso Viejo Middle SchoolArroyo Vista K-8Bathgate Elementary SchoolBernice Ayer Middle SchoolBridges Community Day SchoolCalifornia Preparatory AcademyCanyon Vista Elementary SchoolCapistrano Valley High SchoolCapistrano VirtualCastille Elementary SchoolChaparral Elementary SchoolClarence Lobo Elementary SchoolConcordia Elementary SchoolDana Hills High SchoolDel Obispo Elementary SchoolDon Juan Avila Elementary SchoolDon Juan Avila Middle SchoolEsencia PK-8Fred Newhart Middle SchoolGeorge White Elementary SchoolHankey K-8 AcademyHarold Ambuehl Elementary SchoolHidden Hills Elementary SchoolJohn S. Malcom Elementary SchoolKinoshita Elementary SchoolLadera Ranch Elementary SchoolLadera Ranch Middle SchoolLaguna Niguel Elementary SchoolLas Flores Elementary SchoolLas Flores Middle SchoolLas Palmas Elementary SchoolMarblehead Elementary SchoolMarco Fortster Middle SchoolMarian Bergeson Elementary SchoolMoulton Elementary SchoolNiguel Hills Middle SchoolOak Grove Elementary SchoolOso Grande Elementary SchoolPalisades Elementary SchoolPhillip Reilly Elementary SchoolR.H. Dana Elementary SchoolR.H. Dana ENFSan Clemente High SchoolSan Juan Elementary SchoolSan Juan Hills High SchoolShorecliffs Middle SchoolTesoro High SchoolTijeras Creek Elementary SchoolTruman Benedict Elementary SchoolUnion High SchoolViejo Elementary SchoolVista Del Mar Elementary SchoolVista Del Mar Middle SchoolWagon Wheel Elementary SchoolWood Canyon Elementary School
Subjects/Participants:

Requirement: If parents are to be involved, translation of materials may be required, and will be the responsibility of the researcher.
- Describe the participants to be involved, and the expected number of participants.

Subjects/Participants:*

	Select	Number	Notes
Administrators
Teachers
Students
Parents
Other

Details: *
Sampling/Selection:

Requirement: Participation must be voluntary. Individual responses must remain confidential.
- Describe what procedures will be used to select participants.
- Please describe any recruitment plans, compensation, or participation incentives proposed.
Details:*
Data Collection:

Requirement: Data must be stored securely and confidentially.
- What will be asked of participants?
- Please attach any instruments, forms (including permission forms), questionnaires, surveys, or tests to be used to collect data.
- If applicable, who will administer the tests/ questionnaire and how will those be administered?
Types of data collection tools:*

InterviewSurvey/QuestionnaireTestInstrumentOther, please specify
Details:*
Time Commitment:
- What is the approximate time required from each participant?
- Include number of sessions, length of sessions, and interval between sessions, if applicable.
- Will there be any impact on instructional time?
Details:*
Risk/Benefit:
- What are the potential risks/hazards and expected benefits for the participants?
Details:*
Consent Procedures:

Requirement: Certain topics require prior consent
- What consent procedures will be followed?
Details:*
Institutional Review Board:
Has your study been approved by an Institutional Review Board (IRB) or other Human Subject Review Board?*

YesNo
If "Yes", please upload the IRB approval here:

Cancelof
Part V: Other Data Needs
Other Data Needs:

Requirement: When reporting data, personal identities must be concealed.
- Will you be requesting any other types of district/school/student data?
Details:*
Certification Statement:
In submitting this application, I certify that the application is an accurate and complete description of my proposed research study. I assure the Capistrano Unified School District that the research activities to be conducted are in compliance with all existing legal and ethical codes, regulations, as well as the Federal Policy for the Protection of Human Subjects, the Educational Protections for Children Involved as Research Subjects, Family Educational Rights and Privacy Act, and Protection of Pupil Rights Amendment. Furthermore, I assure that that all data collected for this study will be kept confidential in compliance with the Education Rights and Privacy Act. The approval to conduct research does not obligate any school, staff, student, or parent to participate, as all participation remains voluntary. I also agree to share my final report and findings with the District no later than one year following the conclusion of the research.
Signature*

Clear
Date*

MonthDayYear
Date
Should be Empty:

Part I: Study Information

Please indicate which type of application this research relates to below.

Part II: Contact Information

Part III: Description of Research Study/Grant

Part IV: Methodology - If requesting access to school sites

Target Population:

Subjects/Participants:

Sampling/Selection:

Data Collection:

Time Commitment:

Risk/Benefit:

Consent Procedures:

Institutional Review Board:

Part V: Other Data Needs

Other Data Needs:

Certification Statement: